How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $70.79 | Facility | None | $28.84 | $46.77 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $28.84 | $46.77 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $10.00 | $17.38 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $19.05 | $30.20 | $46.77 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $10.00 Median $26.30 Typical High $40.74 | Professional | None (both parts) | $10.00 | $26.30 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $56.23 | Professional | None (both parts) | $30.20 | $40.74 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $18.20 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $17.38 | $22.39 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.44 Typical High $44.67 | Professional | None (both parts) | $16.98 | $23.44 | $44.67 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $48.98 | Facility | None | $35.48 | $44.67 | $48.98 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $70.79 | Professional | None (both parts) | $30.20 | $47.86 | $70.79 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $18.20 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $33.88 | Professional | TC · Technical part | $17.38 | $23.44 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $72.44 | Professional | None (both parts) | $34.67 | $37.15 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.85 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $15.85 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $22.39 | $43.65 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $14.45 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $5.89 | $9.55 | $9.55 |
Where New Mexico sits
The same service costs 4.1 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Mexico· 47th of 51
$34.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.